NPI | 1710453949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119017) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89686) |
1041S0200X Social Worker, School | |
Enumeration Date | 2018-10-15 |
Last Update Date | 2024-08-07 |